Shriram General Insurance Co.

Ltd
DateTime : 15/11/2023 15:10:59 PM
PREMIUM COMPUTATION SHEET

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Department Motor Insured Name Mr. KRISHNA KUMAR

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Policy Type Own Damage Only Policy Insured Code IN-31030973
Product description Private Car Document Date 15/11/2023
Policy Start Date 15/11/2023 Policy End Date 14/11/2024
Document Type Policy Document No. 325002/31/24/P/0009009
Prop No. Zone Zone B
Insured Address NEAR OLD P.N.B AASHAYAN 106/A,, KHAWA GALI, MANGLA GAURI ROAD, CHAND CHAURA, Gaya-823001,,CHAND

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CHOURAH,GAYA,BIHAR-823001

SCHEDULE OF PREMIUM
Type Cover Description Sum Insured Premium
(+) Basic OD Premium 900000 27351.00
(+) Depreciation Deduction Waiver (Nil Depreciation) 900000 4950.00
(+) Engine Protector 900000 1260.00
(+) Consumable 900000 540.00
(+) Road Side Assistance 0 295.00

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(-) De-Tariff Discount 0 13675.50
(-) NCB Discount 2735.10
OD Total 17985.40

OD Total 17985.40
TP Total 0.00
Total Premium 17985.00

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IGST(0.00%) 0.00
SGST/UTGST(9.00%) 1619.00
CGST(9.00%) 1619.00
Total Amount 21223.00

RISK DETAILS
Section : Own Damage Only Policy
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Vehicle Details : G3LCNM620814 / MALFC81ALNM357549 / 22BH5655F
Type Cover Description Sum Insured Rate Premium
(+) Basic OD Premium 900000 3.0390/100 27351.00
(+) Depreciation Deduction Waiver (Nil Depreciation) 900000 0.5500/100 4950.00
(+) Engine Protector 900000 0.1400/100 1260.00
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(+) Consumable 900000 0.0600/100 540.00

(+) Road Side Assistance 0 295.00
(-) De-Tariff Discount 0 50.00000000000/100 13675.50
(-) NCB Discount 20/100 2735.10

Total Amount 17985.00

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DEDUCTIBLE / EXCESS :
1 CompulsoryDeductible : 1000
2 Voluntary Excess : 0
3 Theft Excess : 0
4 Imposed Excess : 0
CONDITIONS AND WARRANTIES :
1 Limitation As To Use - Private Car
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2 IMT-22
3 IMT-28
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E-8,EPIP,SITAPURA INDUSTRIAL AREA,SITAPURA ,JAIPUR,RAJASTHAN,India-302022

Mobile No.: +91 – 141 - 3928400 3951111, 3995700